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040-350-026
NOTES RESIDENTIAL 040=350-02 04-2296 �A,FFI R.J.. -PLAYERS LANE. CHICO Cont: OWNER NEW SINGLE FAMILY GAS Meter By ' Date O ELECT C Meter By �Date� ^r SPECIAL CONDITIONS •. � CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ' USE PERMIT CONDITIONS 1 SUB -STANDARD HOUSING LETTER E x �-r ►� moi.-- a,,t �Ep-ari G �� K JOB FINALED (Dalt Signature A� ;:j i r, GAS Meter By ' Date O ELECT C Meter By �Date� ^r SPECIAL CONDITIONS •. � CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ' USE PERMIT CONDITIONS 1 SUB -STANDARD HOUSING LETTER E x �-r ►� moi.-- a,,t �Ep-ari G �� K JOB FINALED (Dalt Signature A� J=OK 0 = Not OK . = NotReadyahle MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit _ 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test _ 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged _ 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch _ 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit _ 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test _ 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotOK Ap = Not Applicable RESIDENTIAL . = Not Ready Date UNDE L OR (Plans) OK except #'s o i g -Setbacks -Easements -Flood -Slope W Main; Soils-Elec. Grnd.-/ /oV' Ftg. Depth tg., Garage; Soils-Steel-Elec. Grnd.-/ I;L/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ ' /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped and Special Anchors Fall -Fitting -Test -2 Way C/O -Se Test 10. UF, Gas Pipe; Size Anchors -Yard _Piping; Size Test (( l I 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Datel/ 4-6/11 Card B-1 Date Card B-1 Date r'i G Card B-1Date Card B-1 Date PLU NG er rt) OK except #'s 1 er Htr.: Vent -Access -Combustion Air Baffle T8' r Pipe; Test & Anchor -Nail Protection 1W.V.; Test Fittings & Anchor -Nail Protection y . .. Shower Pan; Test, First Floor -Tub Access 21, �.st Tub & Shower. Second Floor -Tub Access 22' Gas Pipe; Sixe & Anchors -28- Fire Sprinkler; Test Date �) ,� Card B-1 t Date Card B-1 Date Card B-1 Date Card B-1 Date ELEC ICAL (Permit) OK except #'s 24- Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacinq-Liqhts & Switches at Doors 92, S a Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. 28. ip. Ground made up w/Mech Fasteners -Bond Gas & Water ?2!�24pliance Circuit in Kitchen & Conductor Size GFI feed Wire Siz Giga. Cu ortA9A.C. Wire Size C' or AI 3 Range Circle/ 7ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 92. Service -Riser Conductors & Ground Main Disconnect E ui . Clearances Panels-Motors-Mech. Equip. thes Closet Light -Shower Light -Spa Light 3 . Smoke Detector (Single & Duplex) Date 2 , W,,VSCard B-1 !` /7 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ANICAL (Permit) OK except #'s 3 . )AC. Ducts Insulation & Support nt Fan, Exhaust above insulation Co densate Drain & Overflow, Size & Grade 39--furnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet . Attic Access & Platform if Furnace in Attic Date? , Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM( G (Permit) OK except #'s 4 ills Proper Materials & Anchors 4 ails Studs -Nailing Spacing & Braces -Plates -Sound 48/Bearing Walls over Girders & Floor Nailing 4 Draft Stop in Walls (rat proof) 4 . Fi Stops, Furred Ceilings -Stairs -Chasers -Tubs 4b"—Headers & Beams -Size & Bearing Date ,4V Cng. Joist-Rftr. Ties-Purlin-Roll Bra¢'-Trus�Ahting.-Rtng. 40"FiFeplace Ties or Type A Flue -Fireplace roat Clearance 34!B Windows or Exiting Doors -Sill Ht. &Dimensions Z ,U, oS ,Garage Fire Protection Framing -RC Channel 2L3.i�erty Line Firewall & Openings xt. Doors -One 3' -Check Garaae 3rd Storv. 2 Exits -65--Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 66- Plyw96d on Roof Overhang -Attic Vents -Rafter Outriggers Screed -Fd. Vents-Underflr. Access Area -Glass Walls; $f' Brace Interior/Exterior Wall Panels 00,1t?2. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date,,,) , C�-,_ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA tans) OK except #'s Ste s -Door & Sidelight Protection -Landings §:�-Srpo<e Detector Furna a Vents -clearance -Comb, Air -Connector - I arage; Above Floor-Ducts-Mech. Protection e Exiting F.I. ath Fixtures & Tub Access -Spa etg' ec. Trim & Subpanel, Breaker Sizes & Labels 70. Stay& Rails (replace or Stove, Clearance -Hearth 72. Et.2utlets at Wood Panel, Int. & Ext. i . Eixt'& Appliance; Ground-Air-Gap-Cookinq Clearance e utlets & Receptacles at Kit. Counter ar Fire Door; Swing -Landing -Closure C ct in Garage -Damper Okwtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in G ge; Above Floor-Mech. Protection 7, k. & Mech. Equip. Listed for Location ec. Receptacles in Garage (F.F.I.)-Romex Protection 8 1ufation-Foam-Looked in Attic 81 --Guar Rails & Deck Construction -Post Caps 82—fSn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clesgrance Looked under Floor O Yes ollowing Instld./Driv O No/Walk s O No/Plante Yes O No 84. Stucc rown-Finish C. it Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings $L Watp_pWell, Disconnect, Electrical, Plumbing xt Elec. Trim, G.F.I. Receptacle -Underground eptifation Throughout House *,V—C rrections from Previous Inspections \�92. l0as Test -Meters Tagged, Gas -Electric W Water & ewer Connected -C/0 to Grade -HD Approval 94. En y Compliance Certificate -Other Certificates 4 Address Posted 96. Fire Sprinkler Date ,0 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042296 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/29/2004 APN: 040-350-026-000 the Business and Professions Code, and my license is in full force and effect. Q ^ Oak,, t (� License Class: License Number: Site Address: 1 ��Vr'I Date: Contractor: Map Index: 'Description: NSF (2735) GAR (545) COV (130) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RONALD JAMES & BRANDI LAFFINS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 1750 ORO CHICO HWY 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any DURHAM, CA 95938 violation of Section 7031.5, by any applicant for a permit subjects the 8934627 (530 )8934627 applicant to a civil penalty of not more than five hundred dollars (8500).): 4I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: RONALD JAMES & BRANDI LAFFINS PP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 1750 ORO CHICO HWY proving that he or she did not build or improve for the purpose of DURHAM, CA 95938 sale.). (530) 8934627 2---1, as owner of the properly, am exclusively contracting with . licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: am Exempt under Article 3 of thejNsiness and Professions Code C ' Datel 2 Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License workers' compensation, as provided for by • Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 3410 S.F. Policy ,#: �L! (•certify that in the performance of the work for which this permit is Valuation: $192;935.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Sectio 3700 of th Labor Code, I shall forthwith co I. those pr visi ns. r 2 � �J �O -7 O / Date: ¢} � / gQ'. `N (� u Applicant: WARNING: Failure to secure orkers' compensation coverage is W 14 3 0 4 unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of tFe-Butte"County ;oda anrver- "se I hereby affirm that there is a construction lending agency for the Resolu n to do work i ated v for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: V f v > Date:— XIT EXPIRES ON: / %— . Address: to) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage; handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any officia rm or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. i j�vN(� �INS �� . Print Name' Signature: Dale: Usner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor 11'y6-7 i UVC, /CC- Timm/./_ ev G' Z /�< UCG l r 5r19 CC ee %JY- G CSS `r7Z'--PK GZ:/ //�T / Lljvzl 0,,-7 127111, 2L�2 i �rz. G C'ovc i s9 Date -71 -Inspector RZ t REV- Phone # L; FOR �E-1h?ECTION CALL: 538-7636 OR 8 - 834 1 `, ,COUNTY OF BUTTE..'.'.. ....... .......� .� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 r CORRECTION NOTICE Y x �r A -h OWNER PERMIT NO. 4.,f A routine inspection indicates that the..following violations of Butte County Ordinances exist at ' the above addr9ss and should be corrected. Please call for re -inspection when correction of work is comp) ted. If you have any questions pertaining to this matter, or need additional .y explanation, lease contact the Building Inspector as indicated below. G; -a ;r 11'y6-7 i UVC, /CC- Timm/./_ ev G' Z /�< UCG l r 5r19 CC ee %JY- G CSS `r7Z'--PK GZ:/ //�T / Lljvzl 0,,-7 127111, 2L�2 i �rz. G C'ovc i s9 Date -71 -Inspector RZ t REV- Phone # L; FOR �E-1h?ECTION CALL: 538-7636 OR 8 - 834 1 `, G' Z /�< UCG l r 5r19 CC ee %JY- G CSS `r7Z'--PK GZ:/ //�T / Lljvzl 0,,-7 127111, 2L�2 i �rz. G C'ovc i s9 Date -71 -Inspector RZ t REV- Phone # L; FOR �E-1h?ECTION CALL: 538-7636 OR 8 - 834 1 `, INSULATION CERTIFICATE F-1 LaWins Contractor/Owner Name We County. DESCRIPTION OF INSTALLATION 1. ROOF Subdivision Name Job Number: 5456 .10684 Player Ln., Chico CA Job Address (street, city, state) Lot Number Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): 2. CEILING Batt or Blanket Type.: fiberglass Brand Name: Thickness (inches):.:, ... Thermal Resistance (R -Value): ... ... 38............ ... Loose Fill Type:. i:; Fiberglass Brand Name ::+:: .. . i ....... Minimum Installed Weight/ft:..:569 :;Ib Minimum Thickness:.,':: � _11:::::::: inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Va1ue)::':..38 - 3. EXTERIOR WALL FrameType:. A. Cavity Insulation Material1:::-:.:;: Fiberglass.: Thickness (inches): B. Exterior Foam Sheathing Material: Thickness (inches):::,: ........................ .............. 4. RAISED FLOOR Material: Thickness (inches): . ..... . ':::: ...... .. 5. SLAB FLOOR/PERIMETER Material: Thickness (inches): Perimeter Insulation Depth Inches:':':`;:. 6. FOUNDATION WALL Thickness (inches): ........ . ...... . ........ ............... ..... . Brand Name: Thermal Resistance (R -Value) 13&11 Brand Name: Thermal Resistance ............................. Brand Name:: .. .... . .... .... Thermal Resistance (R -Value): ..... . ... Brand Name: Thermal Resistance (R -Value):; ...... .... .. .. Brand Name:-.+. ...... . ...... Thermal Resistance (R -Value):' DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Complianch where applicable. j / 04 1 ... 2 ........... .4...... . Item Number's Sign 'tore anA Date 0�' V,- Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Item Number's Signature and Date Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner 3060 Thorntree Drive 11110 • Chico, CA 95973 e E (530) 894-8833 voice (530) 894-8882 fax email• cj@r-c-e.com Butte County Building Department 7 County Center Drive Qroville, CA 95965 (530) 538-7541 RE: Laffins Residence Lot #4, Players Lane Chico, CA 95928 To Whom It May Concern, our office was contacted by Mr. R..1. Laffins regarding the theft of his Butte County approved building plans. He mentioned that a letter from us is required to allow a copy to be made frrnr your copy of the approved Plans. You have our permission to make the copy. Thank you for the opportunity to be of service. Please contact us at the address and number above if you have any questions. Sincerely yours, Charles J. Roberts, PE t/t a6ed `•nd66:E 90-0�-u?W `.2888 V68 OE5 .3.0.8 :A9 juas S BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP042296 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/29/2004 APN: 040-350-026-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 10(03!5 Date: Contractor: Map Index: Description: NSF (2735) GAR (545) COV (130) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 e Business and Professions Code: Any city or county which requires a Owner: RONALD JAMES & BRANDI LAFFINS permit to construct, alter, improve, demolish, or repair any structure, prior' to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 1750 ORO CHICO HWY she is exempt therefrom and the basis for the alleged exemption. Any DURHAM, CA 95938 violation of Section 7031.5 by any applicant for a permit subjects the (530)8934627 applicant to a civil penalty of not more than five hundred dollars ($500).): Qty I, as owner of the property, or my employees with wages as their %%% sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to anRONALD Applicant: JAMES & BRANDI LAFFINS owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 1750 ORO CHICO HWY proving that he or she did not build or improve for the purpose of DURHAM, CA 95938 sale.). (530) 8934627 td I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: m Exempt under Article 3 of the si ass and Professions Code Date Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 3410 S.F. Policy . I certify that in the performance of the work for which this permit is Valuation: $192,935.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Labor Code, I shall forthwith co w'th those provisions._06 compensation provisions of Sectio 3700 of7o� Date: 0 I L 0� O �v L ` Applicant: WARNING: Failure to secure orkers' compensation coverage is W— L4 / 3 R 1 unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of O �- J compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Burne County .oda and/or - Resolu n to do work i ' ated v for which'fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B . Date: ( U P MIT EXPIRES ON: 7 (� Address: to ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any officia rn or document of Butte County. I hereby authorize representatives of Butte County to enter upon the abovementionedfor inspection purposes. /property , Print Name: N� n �/� �/ �/ o`' l Signature: ' Date: idlzy �o� Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor 3376.3� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 1.53 BUILDING PERMIT APPLICATION gy.6,39 AND SUBMITTAL REQUIREMENTS �-7 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name FF __> first e ^ Address � (2-V C H -i r C 6 -uu Cit U Y C' Sta e r . Tip C� Phone E� 3Y �z �J Fax E� Q E-mail r 1 Ct ARCHITECT/ENGINEER CONTRACTOR Name S 2 Address Z City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class ARCHITECT/ENGINEER I� Name C ce r (LZ R J cA i (( O Address O O city t cD State. Z Phone q S_ ,3�3 Fax Email` r—ems sCOP stat UU'ce e luTmDer APKII%ANTIGNATURE X (Z:�g j For office use only: A 014 APPLICANT NAME Name �Ct V►�l �. Q S d SL Address SRA City No State Zip Phone Map Book Fax E-mail Planner APKII%ANTIGNATURE X (Z:�g j For office use only: A 014 Zoning IU Flood Zone Cross S`Iset IS r SRA I Yes No -1 Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS A PERMIT NO. BP Q4 -:.29G BIN # LOCATION AP# ; yn O ✓ �� �F� Pro ert Apr 10 Cid j C O Cross S`Iset IS r WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of per nit Issuance. LENDING AGENCY Name 0 (A Address Description or Scope of Work: S G V1 CA_ t \re % (4 e Vnc e O -e- Lo C U1ti Sq. Foot e � Cj O � ,�' � ✓ /�j ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by KM Amount �(��`6. Bldg �I SRA Receipt #: 4 7 al I Sheriff SMIP Date: Other Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss'design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All.of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION AFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER ¢� ' 3 5 Z) ' b I-7 Proposed Building Use: I Counter Technician: Date: )tgms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans0or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4 -Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or f4plans, all in duplicate. -- ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations i.64riplicate.,(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. f 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in eChico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by�72 ❑ 19. Soils Report and/or Engineered Foundation required ..............................•............ ........ ❑ 20. Erosion Control Plan Required........................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. e 22. City of Chico Plumbing permit ..:"..................................................................... JA- 23. California Department of Forestry plan=approval ❑ paid. Sent by: 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: !ri-l- 25. Contact Land Development about _ Improvements, _ Drainage ......................... G 26. NPDES Form.............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... O 30. Worker's Compensation Carrier and Policy Number .................................. 31. Owner -Builder Verification &Given to owner, _Mailed to owner) ..................... tD tD v 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... 1 lr 4 ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ .._ 38. Other: ,. ❑ 39. Other: When issued Telephone kl,�? 3 46, 2;z -7 and hold for pickup. ti I have been informe /of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit�aRplicat n for the -above ' e numbered: Plan Check Let er 2. Additional item,5s requNed •1 Contractor, designer owner was advised of the above data by & phone, ❑ mail, ❑ counter, by '-Date: 10.31.04 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: mala tnA0 #i Date : I0• Iq • 4 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: PCM -Date:, 40*•-W_•B4 Yellow. Building Division I E.H. Use ONLY Piot Plan Arinchadd Ro Y Plan Attached Sent to TO: '-----P—tng Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location A # ?7wi Plan Approved for: Sewage Disposal _ Water Supply: Public Private Well Clearance for dwelling. Other Final clearance O.K. for: . NOTE: ironmental Health Specialist 8/96 &4 Date Date District Identification No. aIToa "7 / du�0 School District certifies that (Applicant) (Street Address) i (Phone Number) (City) (State) Rip Code) has complied with the requirements of Resolution No. qW ^ l0j�/' by payment of $ 1&4, t19 representing square feet. School District Representative Paid by Check # � Remarks: 2926 j i �, --.. ;_ • ...�a"�, .....��. `t .. FULL MITIGATION _ t � .:i. + _ • . Date Notice: You may protest the Imposition of the fess Identified above by subndtting a written protest to the Dktrlct, In compliance with Government Code section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely wrltten protest will'prohiblt you from challenging the Imposftion of the tees In any court action. N, subsequent to the school District Representative signing this Buns County schools Impact Fee Certification Form, aw School District Is entitled by the appik — Local Planning Agency that this project Is being revtwwd under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully m0gsb its Impact on the «hoot dbtrices schools. White (applicant), Yellow (building department), Pink (school district) feeform.xts (10/03)dmm BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT yAssessor Parcel Number(s) 04-0 -,95,v , Property Owner ,LA/=G//I5 Project Location/Address �LA"r� LASE, Subdivision Total Number of Dwelling Units I Lot Number(s) Residential Development: (check one) New Development Alteration/Addition Mobilehome(s) Non -Residential to Residential "-'-`-,-Demo-petmit-issued {Date issued ) 're.".: h'i+a..Y:T »'-r'M.:.t-.t.itK � '^✓-e�•.�se+3 'r�.T . ..`+i+;.r. R..iwn+,-iJ '.�. ��i.:- ._, - � n �!... i _ .. •..:.-:y. •—•�i`�Y:�i';�' �-••• .�fe..Jh.,`�;,t.a. ..tm.:=.,.,!:'-..r•..+'r. ...�.%..: -.•iF•�-5..• .•r-'....�N,.:.w:a..,_.�+�.,.. te_.'.:-�s�_,:.:. �<..a....: <r. --r .�-•n. Verified by Building Department Records Verified by Assessor Department Records Mobile home replaced Comment: ing D ntative . J Date /0-'l•04- Chico A_rea.Recreation and Park District (CARD) certifies that ?-s �r N s s 3 0 �� 3 -2-7 (Applicant Name) (Phone Number) 17 X 0 0 (LD CrtN 0- v 17W (Street Address) _ D (/ r k CL � C Ct5 (City) (State) (Zip Code)W T S Ri+k Y6:.'7 w• �• :..-.+Tswi4�A"ly i«"i t..:� :✓ t+::.w 'i"`nM� �� i.1s.. .:.. ,tib. V ..4 �' w � ^ � a' '�..--� �. . -r-aa. ...A _ - - has complied with the requirements of Butte Co. County Park Facility Fee pursuant to Section 16- 33 of the Butte County Code, Resolution No 5.02 effective August 23, 2004. Payment for dwel ing units @ $1,880.00 pe�r� unit, for total payment of $ CARD Representative Date PAID BY CHECK NO. "` -REMARKS: BANK NO.��— PAID BY CASH RECEIPT -NO. Distribution: White --Applicant Yellow--Butte.Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. 70/218/04 130363, t.58F,h F.\ ... \parkfee.frm (Revised 7/30/04) A X3 .TOTAL" $110-90.00 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER L— r— ".J S PROPROSED BUILDING USE S L BUILDING PERMIT FEES / --- Balance Due ..................... $ I ICS Op / 6 t0 Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES C -44 -IC -2 -Do (paid at School District Office) (form available after Plan Check) HA-ILC—r) TD 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$_36-0._ Units $36-0.`- Units A.P. # 04O. 3 ETO a2� DATE 3 a4 RECEIPT # DATE REC. OWii.t�t? way Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 04V 5. RECREATION DISTRICT FEES �9> (paid at Recreation District Office) (form available after Plan Check) N(/+I tip *M owME;►2 t c5- t • ��- 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt Commercial (sq. fig.) ......... X = $ Sq. Fig. Amt. Ok�_ 10. OTHER %S" I p l At time of permit application, I vised a above fees are required to be paid prior to issuance of the permit. These fees may be changed during th pla ec rocess. APPLICANT DATE Pursuant to Government Code Section 6602 , you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition o -'the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) A `I 5 �@CfC WO�� Department C o u n t, J. Michael Crump, Director of Public o.f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 12 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: © L� 0 - 3 G (/ -OZ t By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project, that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by-law. Signed: Title: Date: 11 Less than I Acre NPDES & SWPPP Compliance Certification. Butte County Storm Water Management Program Revised 5/12/04 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 1, 2004 RJ Laffins 1750 Oro Chico Highway Durham, CA 95938 Subject: APN — 040-350-026 Dear Mr. Laffins, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2296 and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. Attached, please find a copy of any use permits, or map notes and conditions for your property. We are providing this to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. Sinc ely, thrisi \J- Tolley Assistant Planner O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner builder' building permit has been applied for in your name and bearing your signature. . Please complete and retain this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received. , _ 1 1. *-I. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 13 NO W*'` *2. I HAVE 0 HAVE NOT signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY.. + PHONE: CONT'RACTOR'S LICENSE NO. 4. '1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. the work indicated: - - - - NAMM ADDRESS, PHONE TYPE OR WORK SIGNED: ."*,'-PROPER'TYOWNER: ; X1111 S V NOTE: This Owner -Builder Verification is required by Section 1983.1 cued 19831 of the California Health and Sof v Code. This verification must be completed and returned to our office before we are permitted to issue the perneit OWNER BUILDER INFORMATIrON Dear Property Owner. An improvements PHcat n far a bM1&g pew has been mbmitted in your name listing yourself as the builder of property specia emit: For YAP oA You should be aware that as "owner-bm1de "you, are the responsible party ofreaord on such p Suffidmg Pewits are not requit-ed to be signed by property owners unless they are own worm If your work is being performed �' Personalty performing tible liabilityif that Person �` someone other than yourself you may Protect Yourself from possible P aPP� for the proper permit in his or her name. license Contractors oo t ctors are req*ed by law to be licensed and bonded by the State of CaMmia and to have a business city or coanty. They are also required by law to put their license number on all pewits for which they apply be aware of the foIfyou plan II to do yon Ownw with the exception of various trades that you plan to sobconttact, YOU should wing information for your benefit and protection; a Ifyon employ or oberwise engage any persons other than your u�nediate and other costs) is $300 or more for the enti m pro and the work (including Mal �s subctnrs, Bien you may be �P�Y� an pro and such persons are not licensed as conizar-tors or ♦ If you are an emPloM you must register WA the State and Federal Go subject to several obligations inc veumeats as as employer and you are state and federal income tax withholdm& federal social s workers compensation ��, �b�, ice costs, and uaeaipI a 3' , ♦ There may be fmamcial rift -for -.. - . WMCMt compensation, ootfrbutians. with to worm's Y if do not cWY out these obligations, and these risks are especially serious respect compensation . ♦ Formore specific k&MajkM abs your obligations under Fedm-d Law If y0II wish, lire U.S. Small Businessr fact 8!e Inial REvemre Seavice (and, State Law, contact the D i i i ). For more specific inti nation about your obligations under epartment ofBenefit Payments and the Division of Fndnstrial AccidentL Ifths strafe is intended for sale, PrOPMtY owners who are not licensed contras rs are allowed to perform their work personally or 9rrough their own employees, conditions. without a licensed contractor or subcontractor, only under limited . A frequent practice of unlicened pPasoas professing to be coracbars is to secure an ¢owner buffilm- b permit, e e ncit ding sty implying $W the property owner is providing his or her own labor and building permits are gat required in be signed by p�rop�mW owners unless trey are perfoanmg g� � °' $IIS inion about iic�sed � may be obtained personally. commnnffjr or at 1020 N S[reeT; S S ease Board in yarn Please � the �� CA. 95814. comp "Owner Bmldm Verification" on the revem side of dw farm so that we ran confirm brat yon are aware of tizese matters. The building P=* will not be issQed until the verifi cation is.retMW& VOTE T&zr 0wtzer-IWdw110ornta{on is required by Sec don 1.9ng of CaWorEzia HeaiBi mzd Safety Code utte County Department of Development Services JNNE CHRISTOPHER, DIRECTOR co 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile N N TO: ' FROM: N;t a)1 SUBJECT: O DATE: WILLDAN Scott Rutherford (530) 538-7160 sruthe rfo rd a buttecou nty. net Plans Transmittal For Review Per Contract 8/4/2004 Applicant: I Laffins, RJ Permit 04-2296 Project Type: NSF%Gars a/Cov. APN: 040-350-026 100% 70% Plan Check Fees $ 1,350.00 $ 945.00 $ 1,350.00 $ 945.00 WILLDAN Fee $ 945.00 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other W I LLDAN Serving Public Agencies October 19, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW, APPROVED 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1082 Jurisdiction Job No: 04-2296 Assessor's Parcel No: 040-350-026 Description: LAFFINS RESIDENCE Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval. The plans and documents provided for this review that have been found in compliance with the applicable codes are: 1. Plans: Two (2) copies dated 3/15/03 by S. Eiselt. 2. Energy Calculations: Two (2) copies dated 8/03/04 by Marty Runnells. 3. Truss Calculations: Two (2) copies undated by Design Assistance and two (2) undated copies of supplemental truss calculations by Design Assistance. 4. Truss Review Letter: Two (2) copies undated by Charles J. Roberts, P.E. of RCE Engineering. 5. Structural Calculations: Two (2) copies dated 10/4/04 by RCE Engineering plus two copies supplemental structural calculations dated 9/8/04 by RCE Engineering. 6. Elevation Certificates: Two (2) copies dated 9/10/04 by Wesley E. Gilbert, P.E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, and identification of any deferred submittals. 117 C Street 3 W1 LLDAN , Marysville, California 95901 Serving Public Agencies ' 530/749.2373 fax 530/749.2199 www.willdan.com 1 APPLICABLE CODES ' Unless noted otherwise, all .comments are based on requirements of the 2001 California Building j Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • 'Part 3, known as the California Electrical Code and abbreviated herein as "CEC" - • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC • 'Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" . CODE ANALYSIS - t Type of Occupancy Type of • Construction Sprinklers Stories 1s` Floor S Ft 2° Floor. S Ft Total Sq Ft R-3 V -N No 1 2750 NA 2750 U-1 V -N No 1 545 NA 545 ' Covered Porch V -N No 1 130 NA - .130 f SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs, pursuant to CBC`1701. } 0 DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. . Sincerely, .. ..: .. ,• °. .� - ;� i ' S Isaac Kuster Gordon Wright, P.E. Plans Examiner Plan Check Engineer CC: Alice Mefford at Butte County Email: amefford@buttecounty.net ' - Charles Roberts, P.E., Roberts Consulting Engineering, 3060 Thorntree Dr, Suite 10, Chico, CA ! . 95973, Email: cj@r-c-e.com } RJ Laffins, 1750 Oro -Chico Highway, Durham, CA 95938 Email: rjlaffins@yahoo.com i A )S -S, 91//n- li EXHIBIT A Tentative Parcel Mao for Ronald Laffins Trustee T& T Electric Pension Trust (TSM 00-04) (Pheasant Oaks Subdivision) C� Planning Division Conditions: �;U Prior to Final Map recording, Rezone 00-04 for Ronald Laffins, Trustee J&J Electric Pension V Trust, shall be approved by the Board of Supervisors. In order to ensure that the sound wall and berm planned for the project's perimeter along State Route 99 is developed using the most site sensitive design and materials, and is L/ �. b constructed in a manner that will present an attractive appearance from SR -99 and from the V' subdivision road, prior to Final Map recording the applicant shall provide the Planning Division and the California Department of Transportation a rendering of the sound wall and berm that will specify wall color, texture and design. (Mitigation Measure #1) V .1 In order to soften the visual appearance of the berm and sound wall, prior to Final Map b Recording the applicant shall plant photinia on 8 foot centers on the east side of the wall, and 0�6 redwood trees in 15 gallon containers on 30 foot centers on the west side of the wall, along its entire length. The plantings shall be maintained by the property owner and provided with an irrigation system. Plantings that are not self-sustaining shall be maintained and irrigated by the Homeowner's Association. All plantings on the east side of the sound wall shall be approved by the California Department of Transportation. CalTrans shall be granted the right to enforce the landscape maintenance obligation. (Mitigation Measure #2) C4 {,J In order to ensure that this Planned Unit Development includes high-quality design, in ( accordance with Section 24-210 of the Planned Unit Development ordinance, prior to Final (/ (�` Map recording the Subdivision access road at the intersection with Estates Drive shall be landscaped in accordance with the "Fairway Estates" entry treatment, a copy of which is on file with the Planning Division (File #REZ 00-04). A monument or fence style entryway sign will mark the Subdivision entrance in accordance with this design. The sign will be non - illuminated, or only illuminated by floodlights from below. All plantings in this area shall be irrigated. Plantings that are not self-sustaining shall be maintained and irrigated by the Homeowner's Association. (Mitigation Measure #3) 5. v Perform the following to ensure compliance with Butte County Air Quality Management District requirements: l� AY Measures shall be taken to control fugitive dust emissions from all road, driveway and other civil construction associated with residential development. Measures may include site and road watering and/or use of other acceptable soil palliatives. 0 Questions regarding fugitive dust control may be directed to the Butte County Air Quality Management District. B Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet which states: "Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. All disturbed areas, including driveways and roadways, shall be treated with water and/or other acceptable soil palliatives during and after construction to minimize the creation of dust and to protect air quality in the surrounding area. The treatment shall be maintained until ground surfaces are stabilized with vegetation or pavement. (Mitigation Measure #4) 14aTC � I 0.6: rr,�- In order to protect the riparian vegetation along the Durham Mutual Irrigation District Ditch the following mitigations shall be followed: V 1 A.'V The design of the Subdivision Road shall be accomplished to preserve the riparian vegetation along the Durham Irrigation District Ditch to the maximum extent possible. B. " A no development setback shall be established along the Durham Mutual Irrigation P g g District Ditch. This setback shall be measured 50 feet on each side of the centerline of the channel. The setback area shall be delineated on the final map or on an additional map sheet as follows: "No Development Setback" and "No development permitted in order to protect riparian resources." The setback shall not be applicable to that portion of the channel crossed by the subdivision road serving the project. C. The development of the subdivision road crossing shall be coordinated with the Department of Fish and Game, and a 1603 Streambed Alteration Permit shall be obtained, if required. (Mitigation Measure #5) 67) In order to ensure that the project's native valley oak (Quercus lobata) trees are protected from residential development pressure, and to ensure that development pressure does not decrease numbers of native oaks to the point that they may become endangered in the future, I the following mitigations shall be required: r0A. All valleyoak trees as identified on the Oak Tree Ma for the Lamin r ( p s property on file in #Rez 00-04) removed during construction activities shall be replaced with oak �y seedlings on a two-for-one basis after development, with at least a 15 foot interval b� between each seedling, in the common area of the property that will not be disturbed. (1 Any valley oaks or other tree species 12 inches or larger in diameter at breast height shall be conserved if at all possible over smaller trees. The oak trees shall be properly maintained by the developer until they are self-sustaining. The Homeowner's Association shall be responsible for their continued care and maintenance through the Subdivision's CC&Rs. The Planning Division shall be 14 5 notified upon completion of this mitigation so that the CC&Rs can be reviewed for compliance and an inspection can be scheduled, prior to Final Map recording. (OB Prior to Final Map recording, and any ground disturbing activity, an arborist or other S( qualified individual shall select individual healthy valley oak trees for retention, blo V setting out criteria for selection of the oak trees to be selected based on size, beauty, landscaping significance, and a location which allows reasonable development of the Gproperty, which shall include a circular zone (minimum 40 foot radius) to be established around each tree. If the road easement interferes with the 40 foot radius, the radius can be reduced to accommodate the easement, in such instances that the easement conflicts with a tree worthy of conservation. Each selected tree shall be surrounded by an orange plastic fence during construction activities to designate areas as environmentally sensitive (ESA's). Roads, buildings and disturbance shall be prohibited within the ESA's. The designation of ESA's shall be to the satisfaction of the Planning Division. 0Subdivision CC&Rs shall be written to include measures to protect the 40 foot ESA Yaround each conserved valley oak tree. These measures shall include the prohibition /-, of development and disturbance within the ESA. The measures will encourage the V use of borders and other landscaping schemes to identify the ESA, when the temporary fencing is removed. The measures shall be made applicable to individual lots of the subdivision during development and occupancy. The Homeowner's association shall provide oversight in maintaining the ESA's and protecting individual trees from development. When temporary fencing is removed after construction, the ESA shall be maintained by individual property owners. Ub Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: All valley oak trees present within this 11�L' subdivision are protected from disturbance. Individual trees may be removed only upon authorization of the Homeowner's Association. A Forty (40) foot radius Environmentally Sensitive Area (ESA) has been established around each valley oak tree. Individual property owners are responsible to maintain the ESA , which must remain undisturbed in order to ensure survival of individual valley oak trees."' (Mitigation Measure #6) No-rO--' ? ``"" (�) I In order to protect wetland resources, the Durham Mutual Water Company Ditch shall be delineated on the final map and labeled as follows: "Wetland Areas that are Jurisdictional waters of the United States, Army Corps of Engineers permit required prior to discharge of dredge or fill material into this area." (Mitigation Measure #7) UOT& O< r)14 `V A no development setback shall be established along Butte Creek, within the project site. (�1%Y This setback shall be measured 100 feet from the edge of the high water mark of Butte Creek. (,Y The setback area shall be delineated on the final map or on an additional map sheet as V follows: "No Development Setback" and "No development permitted 'in order to protect riparian resources." (Mitigation Measure #8) t, e 10 Place a note on a separate document which is to be recorded concurrently with the map or D' on an additional map sheet that states: "During development activities, should any archaeological artifacts be discovered, the Planning Division shall be notified immediately, and all work shall cease until a qualified archaeologist has examined the artifacts and the site and submitted his or her findings to the Planning Division, and recommended clearance to continue. Recommencement of construction shall be upon the approval of the Planning Division." (Mitigation Measure #9) dare "i K n114 11. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: r "This subdivision may have expansive soils. Prior to site development foundations may have to be designed by a registered Civil Engineer or licensed architect." (Mitigation Measure #10) tato E 14S c, �ry In order to minimize water quality impacts and sediment transport to Butte Creek and the Durham Irrigation Ditch during low flows, pollution traps shall be incorporated into the storm drain design near the point of discharge. Design for the traps shall be approved by the Department of Public Works in conjunction with Drainage Plan approval. (Mitigation Measure #14) _Pvo • wies c' K 1111 6/o.3 911" In order to reduce development within the floodplain to a level that will conform to General Plan, Land Use Element Policy 5.3d. and to insure that future development does not occur within this area, which would not conform to Policy 5.3d, the following condition shall be placed upon the Subdivision Map: Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: " In order to conform to Butte County General Plan Land Use Element Policy 5.3d, which requires that urban development be directed away from flood -prone areas, the common area which contains the land conservation area and sewage disposal area within this subdivision shall remain unsubdivided, and lots 1 through 14 shall not be further subdivided. (Mitigation Measure #15) Nor% #t-, co e .,-%4 Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "All residential development within the subdivision 1� shall be required to include vented stemwall construction as a mitigation for the displacement of flood waters, and to protect residential construction from hydrostatic flood forces. Construction shall be required to conform to the Butte County Flood Damage Prevention Ordinance contained within Butte County Code Chapter 26, Article IV. Vented stemwall construction shall be constructed to satisfy National Flood Insurance Program guidelines and Building Division requirements. If the building site can be demonstrated to be above the 100 year floodplain to the satisfaction of the Building Division of Development Services, slab foundations may be permitted" (Mitigation Measure #16) Mae 7 015 In order to address CalTran's permitting requirements involving drainage and grading during the construction of the sound wall and berm in proximity of State Route 99, provide `CCCalTrans with the following: A. Prior to development, provide hydrologic/hydraulic calculations that reflect existing and altered drainage conditions for the proposed development and for all drainage systems affected by the development. The developer must also provide grading and drainage plans for the proposed development for review and comment by the District 3 Hydraulics Branch - C) ;�(� (.•zl 110,3 B" Provide designs of sound wall and berm to CalTrans. Of --a PC �- �jz, �a Cbl17-rzfry,..is -• C- 24 �. r 12/1(03 C:— Incorporate `weep holes' in the sound wall design at the base of the structure, if appropriate. r �� I' : Z 9!0 2- CAL. -�z �:. �� r c.!"T'_:.P,._ - rn 14 z(� U3 D. Adequate drainage must be provided for the highway to ensure that no flooding of the highway will occur during the 100 year -return storm event. d,(— E. A CalTrans Encroachment Permit must be obtained by the developer for any work to be accomplished within the State's right of way. (Mitigation Measure #17) 16 Prior to Final Map Recording, a berm and sound wall shall be developed 13 feet in height in the vicinity of the east boundary of the project as shown on the plans for the Planned Unit P� I Development and on file with the Planning Division (File #REZ 00-04). The sound wall (� r shall include a capstone that will extend 2 to 4 inches outward into the highway side of the wall. This structure shall be designed and installed to decrease the noise levels from State Route 99 in the outdoor areas of the building sites within the subdivision to a 65 decibel Ldn noise level. Maintenance of the sound wall shall be the responsibility of the Homeowner's Association. A maintenance provision for the sound wall shall be included within the Subdivision CC&Rs. All necessary building permits shall be obtained from the Building Division. The structure shall be engineered, with footings for stability. (Mitigation Measure #18) 17. Place a note on the Map or on a separate document to be recorded with the map stating: "To ensure that noise levels inside and outside the residences are within acceptable limits of 45 Ldn decibels interior and 65 Ldn decibels exterior, outdoor activity areas for Parcels #6 thru #14 shall be located on the west side of the residence (closest to the golf course), and garages shall be built on the east side of the residence to act as a partial sound buffer for the A • residential portion of the dwelling. For Parcels #1 thru #5 outdoor activity areas shall be located on the south side of the residence (closest to the golf course), and garages shall be built on the north side of the residence. Bedrooms should be located to the rear of each residence, if desired." Place this same note on the CC&Rs developed for the subdivision. (Mitigation Measure #19) 'v.• �= "" " d8nn To ensure that construction noise does not become a nuisance to neighbors, construction activities associated with subdivision development such as clearing, road building, grading, and infrastructure development shall be limited to the hours of 8:00 am to 8:00 pm. (Mitigation Measure #20) 19Place a note on a separate document which is to be recorded concurrently with the map or von an additional map sheet stating that: "A development impact fee for Sheriffs facilities F�/� shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code, lJ� prior to issuance of building permits. The fee amount will be determined and calculated as of the date of application for the building permit." (Mitigation Measure #22) Na i j� ' 0 Place a note on separate document which is to be recorded concurrently with the map or on 4 an additional map sheet stating that: "A development impact fee for school facilities shall be Ypaid prior to issuance of building permits. The fee will be determined and calculated as of ' the date of application for building permits." No -rat ' t a m 1+ Department of Public Works Conditions S a. a C ott t 2 _211Prior to Final Map recording, determine a pro rata share cost for this project's cumulative impact on traffic circulation at State Route 99, based upon this projects size and impact. This pro rata share cost shall be utilized for the future Southgate interchange and additional highway frontage road construction as specified in the Freeway Agreement between CalTrans and the County dated January 26, 1982 under County Resolution #82-18. Any current contribution, such as right-of-way dedication, may be used to discount the total amount, subject to Public Works review. (Mitigation Measure #23) �'L ,�/,J-122. Access to Estates Drive to be constructed to provide for traffic on access road to be ti perpendicular to the centerline of Estates Drive, as far from SR -99 as possible. 23.. Provide street name signs per requirements of the Department of Public Works prior to �'✓� . �� �A/ recordation of the Final Map. Street names shall be approved by the County Address Coordinator prior to the recordation of the Final Map. A minimum of 5 alternate names for each new street shall be submitted. 1Q4,r Es o K f'ca LC i r,` o i>Amo; O 'f La`iCn LANItom' * e-OC4(` �"AY M"I 7-Y)-MZ- 24.Obtain encroachment permit for all new or existing driveway approaches and construct them to County standards, as specified in County Improvement Standards. 5. Prbvide cul-de-sacs, designed and constructed to county standards as specified in the County 1 K Improvement Standards. The Final Map shall show the cul-de-sacs. o� 26. The developer shall provide all necessary traffic safety signs including stop signs. A note ►-1 E4 shall be placed on a separate document which is to be recorded concurrently with the map or on an additional map sheet of the Subdivision Map stating: "No public entity shall be responsible for the maintenance of the stop sign. In accordance with Civil Code Section 845, maintenance of the road, including the stop sign shall be shared by those properties with a legal interest in the private right-of-way or easement." C �f� 27. Pay the recording fees then in effect for recording the Final Maps and related documents. V28. "Deed to Butte County, in fee simple, 25 feet of right-of-way from each side of the centerline of the frontage road for the full frontage on State Route 99, unless the Department of Public 14, Works determines that the frontage road has previously been deeded to the State of California. The right of way shall be sufficient for the installation of standard No. S-5 at all street intersections. &0 ' -2, TA ae R- t 5 v t -atm- 5 z r 12 .s I/ 9 r G: 5 Pc r� Z 29. Construct full street section on interior streets to street section provided by the applicant and incorporated into the Planned Development Design (dated May 25, 2001). 'f °'-j/; ; 30. Offer for dedication a 60 foot wide easement connecting SR -99 frontage road with Estates Drive as necessary to accommodate turning radius. .50S'z/031.'De-dicate:aone.foot•°no-access..strip-' or• relinquish abutter's rights to Butte County, along the frontage road frontage of all parcels along the east property line. A ccci: �7'c c > 0 5� v .32. Prior to the recordation of the Final Map, obtain an encroac ent ermi and construct a standard road approach, in accordance with County Improvement Standards. Adequate sight distance at the intersection of access roads and Estates Drive shall be provided. 33. Show on the additional map sheet or on a document to be recorded concurrently with the Final Map a 25 ft. building setback from the east property line. r -s 6 34. Street lighting shall be provided in accordance with Butte County requirements, accepted design criteria, and recommendations of Pacific Gas & Electric Company. If the developer chooses to install the streetlights and. pay energy costs through a County Service Area (CSA), he/she must complete the formation of the CSA prior to recordation of the Final Map. The CSA formation process will require the Developer to fund the service until the beginning of the .first fiscal year in which service charges can be collected for the CSA, and agree to an annual maximum service charge to ensure continued operation of the facilities. %''35. ' Prior to the recordation of the Final Map a plan for a permanent solution for drainage shall el, be submitted to and approved by the Department of Public Works. The drainage plans shall specify how drainage waters shall be detained on-site and or conveyed to the nearest natural or publicly maintained drainage channel or facility and shall provide that there shall be no increase in the peak flow runoff to said channel or facility.' 36. Establish 100 year floodplain elevations and the lowest floor elevations for any structures. 1*1'4 Show on the additional map sheet the elevations (by contours) and the location of an 3 accepted NVGD benchmark and a temporary benchmark on-site. Hare 31.; 7.37. Show all easements of record on the Final Map. 38. Prior to or concurrently with the recordation of the Final Map, pay in full any and all 3/y delinquent, current and estimated taxes and assessments as specified in Article 8, of Chapter 47 per 4 of Division 2 of Title 7, of the California Government Code commencing with Section 66492. s! e! :_R( Environmental Health Division Conditions b& .n_ rtZ r� d:C> 39. LEACH FIELDS��o, A. Identify on the additional map sheet a 100 foot setback from the high-water line of the Durham Irrigation Ditch on the common parcel. B. Prior to recordation of the Final Map, record an executed Future Sewer Service and Storm Drainage Agreement. C. Provide a 150 foot wastewater and hazardous materials free setback area around the proposed community water well. 40. PUBLIC WATER A. Prior to recordationofthe �fiinal map,goviidera letter or other documentation from Butte Creek "' stating that they are willing and able to supply domestic water to all of the lots in the subdivision. B. Place a note on the additional map sheet that states, "Development of lots 1-14 will require connection to a public water supply.". ,!ora & 1 3 o v, r•" '.J. C. Place a note on the map that states, "All water wells drilled in areas of known flood hazards must meet construction standards set forth in Butte County Code 23B -9c." tNoTr. * 14. o ,:�- — 4. 41. NEW COMMUNITY SEWER A. Prior to improvement plan approval and/or before initiating any site improvements, provide Waste Discharge Requirements issued by the Regional Water Quality Control Board (RWQCB). B. Prior to initiating any grading or site improvements, submit improvement plans for review and approval for the construction of a community sewage collection and disposal facility. At a minimum, these plans must meet the following standards and criteria: 1. Comply, with all state and local law regarding the design, placement and construction of a wastewater disposal system; 2. The design must be included as an integral part of the grading and site improvement plans, subject to approval by both the Butte County Environmental Health and Public Works Department. 3. Provide a detail on the plan demonstrating encroachment of private sewer lines in public road rights of way. 4. The plan must be complete and detailed, submitted by a licensed civil engineer, showing a continuous flow-through system. This plan shall specify construction details with appropriate construction notes, materials to be used and show elevations of various gravity fed components in relation to site plan (commonly called a hydraulic profile cross section). This plan must be finished and detailed sufficiently with construction specifics that would allow a qualified contractor to install the facilities in accordance with the above referenced criteria. C. Prior to recording the Final Map, provide community sewage collection, treatment and disposal facilities in compliance with California State Regional Water Quality Control Board, the Butte County Code, California Health & Safety Code, Federal Law and other applicable codes and regulations governing the design, construction and operation of the facilities. D. Prior to the Final Map comply with all sewage disposal facility construction standards and health and safety requirements of the Butte County Code, California Health & Safety Code, Federal Law, and other applicable codes and regulations governing the construction of such facilities. E. Prior to the Final Map provide a community services district or other legal (government) entity adequate to insure the operation, maintenance or repair of the sewage collection, treatment and disposal facilities. At a minimum creation of the entity shall: 1. Insure financing of operation, repair and maintenance; 2. Provide qualified individuals and operational procedures for facility operations, repair and maintenance; 3. Provide adequate resources to comply with all monitoring and other Regional Water Quality Control Board Waste Discharge Requirements; 4. , Provide adequate resources for facility inspections and reports; 5. Provide adequate resources and/or mechanism to insure adequate funding of a major sewage treatment and a disposal facility replacement or reconstruction if necessary; 6. Provide a liability risk assessment for review by the County of Butte; 42. SOLID WASTE DISPOSAL PLANS A. Place a note on a separate document which is to be recorded with the map or on an additional map sheet of the Final Map stating, "Solid waste disposal shall be the responsibility of each property owner. Trash and debris shall be picked up weekly by either a trash collection company approved by the County of Butte or the property owner shall assume the responsibility for taking trash and debris to a County approved landfill." (Mitigation Measure #11) /V orc '1417 01,x- til California Department of Forestry Conditions (6r.,;_ rn G. rr+ v Yrt A 43. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "All addresses shall be installed in conformance with Public Resource Code 4290 -Fire Safe Regulations and shall be posted at the beginning of building construction and maintained continuously thereafter." (Mitigation Measure #12) 7. Indemnify the County of Butte and Community Services District or other government entity for all claims and liability that may occur relative to the sewage disposal facilities. 'F. If a Homeowner's Association is formed as an oversight entity for the maintenance and repair of the sewage collection, treatment and sewage disposal system, obtain P s- approval of the By-laws and CC & R's by California State Regional Water Quality CM 2 Control Board and Butte County Environmental. Health. Approval shall be obtained .prior to recordation of the Final Map. G. Place a note on the additional map sheet that states "Development of lots 1 through ` o 14 will require connection to the community sewer system." t� �' Ps p�� �n :f c.i H. Place a note on the additional map sheet that states "Lot designated as conservation/sewage disposal reserve, is to be held in common for the benefit of the n homeowner's association for the purpose of providing an area for the community sewage disposal system." M-ru oe- t I. Provide an easement for community sewage disposal lines where they cross �Lt individual lots. J. Provide for ownership or control of the sewage disposal area, sewer mains pump stations and other facilities by the wastewater system maintenance entity. 42. SOLID WASTE DISPOSAL PLANS A. Place a note on a separate document which is to be recorded with the map or on an additional map sheet of the Final Map stating, "Solid waste disposal shall be the responsibility of each property owner. Trash and debris shall be picked up weekly by either a trash collection company approved by the County of Butte or the property owner shall assume the responsibility for taking trash and debris to a County approved landfill." (Mitigation Measure #11) /V orc '1417 01,x- til California Department of Forestry Conditions (6r.,;_ rn G. rr+ v Yrt A 43. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "All addresses shall be installed in conformance with Public Resource Code 4290 -Fire Safe Regulations and shall be posted at the beginning of building construction and maintained continuously thereafter." (Mitigation Measure #12) 44. Fire hydrant identification, reflectors or post reflectors shall be installed to the County Fire Warden's satisfaction, prior to final map recording. (Mitigation Measure #13) 45. A pressurized community water system shall ress the need for water in sufficient mounts or fire protection within subdivision. The pecific locations and fire cr flow requirements shall be in accordance with the Fire Department specifications and to the c n` `�� satisfaction of the County Fire Warden. Average required hydrant spacing shall be 500 feet, 01.i hydrant size shall be 6 inches, and residual fire flow shall be 1000 gallons/minute. (Mitigation Measure #21) (�,' 1iGH.I%. tis .L'� 1=A•X' E242f0-Pf tYlt . Regional Water Quality Control Board' - � , .:C.,- � �.,:,, E s,c a,0 3_ t,:. _ a � rf cs,=� 7.1 Noi t ttrr 7 4 6. Wetlands and/or stream course alteration - Water quality certification is required for any u project which impacts waters of the State (such as streams and wetlands). Impacts include, 1-"4's, but are not limited to, stream crossings, the modification of stream banks or stream courses, and the filling or modification of wetlands. The Certification must be obtained prior to S c �, s • construction. Failure to obtain Certification, when required, may result in an enforcement action. Svarrr E; 0 -y.rs V e- 47. Storm Water - A Construction Activity Storm Water Permit is required for storm water discharges associated with a construction activity where clearing, grading, and excavation result in a land disturbance of five or more acres. Storm water discharges from a construction activity that results in a land disturbance of less than five acres, but which is part of a larger common plan of development, also requires a permit. The Construction Activity Storm Water Permit must be obtained prior to construction. Failure to obtain a permit, when required, may result in an enforcement action. 48. ? Construction Dewatering - If improvements such as sewer, or other utility installation require dewatering of any excavation, a general NDPES Dewatering permit must be obtained. This office may be contacted to obtain the necessary forms for this permit if necessary. ®., =49. ;7 Wastewater Treatment and Disposal'- Sufficient information must be provided by the applicant to enable evaluation of the treatment and disposal options in relation to conditions in the area such as local ground and surface water hydrology and soil types and depths. Potential impacts or benefits which must be addressed include contamination of ground and surface waters, protection of the public health, generation of vectors and nuisance conditions such as odors, and short-term impacts during construction such as accelerated erosion. A septage disposal plan must also be considered since homes in the development will all be on septic tanks. Pacific Gas & Electric Company / 711 la en 1= Ok' 50. A 10 foot wide public utilities easement shall be dedicated adjacent to the southerly boundary 1phZ.103 line of the 50 foot wide frontage road easement. �OCnrE WAY � 'PLA LAW 51. All public utility easements and/or public service easements shall be kept free and clear of z� o� any and all obstructions, including structures, longitudinal fencing and/or sound walls, which Z may impede the construction, operation and maintenance of PG&E gas and electric facilities. d'�tff 1�o-�3 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 001:^N ' of Document Recorded 29 -Oct -2004 2004-0066547 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: i+0 w< (t)AT C:r (ZTA ( IN) HA- e G-1 I i ED V ( (-(/i S�{- j c�'� v i I_ C 2 l: 0 }'IA ivlfi S ((\J ifl; 0 fr i C (_ OF- T V 1 �-G(bVC- liCYL OF i (f l; C G v N'( �� c� i- �3 F S F( >✓ �Z�cv i t� , o 1/2oa 3 ti �� vo 15 Date � c� �� PROPERTY O S: State of California ) County of /3 vfk. ) On 0 6� ��IXJ 246N before me, 411% 0 141/- personally appeared /ZdnV.a-L U g 61- ,4- �,(,r A/ L j �, . � ,c personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknow edged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their ig ature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the ins u ent. WITNESS my hand and offici�eo . _ Seal:Lewqp HAROLD HAGENS COminbsion #f m6000 Notary PubUc - calfomlo Buffs CaAlly My Comm. Exphea /ug 7.201 THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS. PARCEL I: LOT 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "THE VILLAS AT BUTTE CREEK SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 19, 2003, IN BOOK 158 OF MAPS, AT PAGE(S) 81, 82, 83, 84 AND 85. THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED DECEMBER 22, 2003, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2003-87899, BUTTE COUNTY, CALIFORNIA, ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. PORTION OF APNS 040-350-019-000, 040-350-020-000, 040-350-021-000 AND 040-350-022-000 PARCEL IT: A PRIVATE ROADWAY EASEMENT OVER LOTS A AND B AND PERMANENT OPEN SPACE AND CONSERVATION EASEMENTS OVER LOTS D, F AND G, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "THE VILLAS AT BUTTE CREEK SUBDIVISION" WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 19, 2003, IN BOOK 158 OF MAPS, AT PAGE(S) 81, 82, 83, 84 AND 8S. PARCEL III: A CONSERVATION EASEMENT AND SEWAGE DISPOSAL, FOR THE COMMON USE AND ENJOYMENT OVER LOT E, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "THE VILLAS AT BUTTE CREEK SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 19, 2003; IN BOOK 158 OF MAPS, AT PAGES) 81, 82, 83, 84 AND 85. PARCEL IV: AN EASEMENT FOR WATERLINE PURPOSES ACROSS LOTS A, B, D, E, F,'G AND LOTS 1 AND 14, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "THE VILLAS AT BUTTE CREEK SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 19, 2003, IN BOOK 158 OF MAPS, AT PAGE(S) AND 85. 81, 82, 83, 84 CONTINUED PARCEL V: AN EASEMENT FOR SANITARY SEWER PIPELINE ACROSS LOTS A, B AND E, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "THE VILLAS AT BUTTE CREEK SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 19, 2003, IN BOOK 158 OF MAPS, AT PAGES) 81, 82, 83, 84 AND 85. q L! n`fO - 35ZD _oac TO RETURN TO CHICO EH - SITE PLANT REVIEW APPLICATION Date: - _•C) AN -to .,h Permit Number (if applicable) Bin Number APPLICANT INFORMATION Owners Name: I C" - 4,T Addresp: Telephone No.: Situs Address: Proposed Use: Parcel Size: G� L5 Email - Residential ] New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other 'J. Septic ❑ Agricultural Exempt Building ❑ Other: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel C®Ulv�r :JUN 2 4 2iij4 -DEV I,f PI gr:CES ❑ Well D" .Agricultural Buffer Form ❑ Applicable ❑ N/A Brief Explanation (if necessary): g ftw QUO ?L? C4t1&L r DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 10 Approved 'IK' ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 1A Site Plan Stamped Approved By ', Date - Z( Z.A�O T I r r CC -2,(1,75- El 2u15" ALL ITEMS CHECKS" APPLY TO, THE PROPERTY Parcel Is In: ❑ Snow Load Area: - ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) ® Flood Zone: A 1= ® Flood Panel No.: 66dO-7,-- o 10( Index Date: 06 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ - Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------- ----------- Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: . N D F-44-Ectl RI Applicable Building Setbacks: Front Zoning Code 2 5 1 Streets & Highways Fire Prevention Subdivision Map Side �- Side Street Rear Height —T—N/A Waterway N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 G Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thennalito Urban Area ❑ Other ---------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) R * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created' By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes . Comments: ❑ Parcel Deemed to be legal ❑ Yes ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Pate 3 of 5 t' ❑ Subdivision Ma-o/Parcel Map: Map Date of Recording: D,FC. (�t 2.vv 3 Lot: ❑ Use Permit/Minor Use Permit Permit Number: m Book: p Page: -p Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shalf be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department - of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. n Page 4 of 5 4 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAL.arryslBuilding Permit Site Plan Reviewl.doe (2-20-04) PAQe 5 of 5 ,A fJQ� M .MVV EXHIBIT A Tentative Parcel Map for Ronald Laffins, Trustee J&J Electric Pension Trust (TSM 00-04) (Pheasant Oaks Subdivision) Planning Division Conditions: 01, Prior to Final Map recording, Rezone 00-04 for Ronald Laffins, Trustee J&J Electric Pension Trust, shall be approved by the Board of Supervisors. In order to ensure that the sound wall and berm planned for the project's perimeter along �� State Route 99 is developed using the most site sensitive design and materials, and is �� constructed in a manner that will present an attractive appearance from SR -99 and from the V subdivision road, prior to Final Map recording the applicant shall provide the Planning Division and the California Department of Transportation a rendering of the sound wall and berm that will specify wall color, texture and design. (Mitigation Measure #1) 0;3� In order to soften the visual appearance of the berm and sound wall, prior to Final Map Recording the applicant shall plant photinia on 8 foot centers on the east side of the wall, and O� 6 redwood trees in 15 gallon containers on 30 foot centers on the west side of the wall, along V its entire length. The plantings shall be maintained by the property owner and provided with an irrigation system. Plantings that are not self-sustaining shall be maintained and irrigated by the Homeowner's Association. All plantings on the east side of the sound wall shall be approved by the California Department of Transportation: CalTrans shall be granted the right to enforce the landscape maintenance obligation. (Mitigation Measure #2) Y In order to ensure that this Planned Unit Development includes high-quality design, in / � accordance with Section 24-210 of the Planned Unit Development ordinance, prior to Final 0 f Map recording the Subdivision access road at the intersection with Estates Drive shall be landscaped in accordance mith the "Fairway Estates" entry treatment, a copy of which is on file with the Planning Division (File #REZ 00-04). A monument or fence style entryway sign will mark the Subdivision entrance in accordance with this design. The sign will be non - illuminated, or only illuminated by floodlights from below. All plantings in this area shall be irrigated. Plantings that are not self-sustaining shall be maintained and irrigated by the Homeowner's Association. (Mitigation Measure #3) 5. v Perform the following to ensure compliance with Butte County Air Quality Management vn District requirements: Q01 A!' Measures shall be taken to control fugitive dust emissions from all road, driveway and other civil construction associated with residential development. Measures may include site and road watering and/or use of other acceptable soil palliatives. n Questions regarding fugitive dust control may be directed to the Butte County Air Quality Management District. B. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet which states: "Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. All disturbed areas, including driveways and roadways, shall be treated with water and/or other acceptable soil palliatives during and after construction to minimize the creation of dust and to protect air quality in the surrounding area. The treatment shall be maintained until ground surfaces are stabilized with vegetation or pavement. (Mitigation Measure #4) t&-r4a In order to protect the riparian vegetation along the Durham Mutual Irrigation District Ditch the following mitigations shall be followed: V A.11 The design of the Subdivision Road shall be accomplished to preserve the riparian vegetation along the Durham Irrigation District Ditch to the maximum extent possible. B. " A no development setback shall be established along the Durham Mutual Irrigation District Ditch. This setback shall be measured 50 feet on each side of the centerline of the channel. The setback area shall be delineated on the final map or on an additional map sheet as follows: "No Development Setback" and "No development permitted in order to protect riparian resources." The setback shall not be applicable to that portion of the channel crossed by the subdivision road serving the project. C. The development of the subdivision road crossing shall be coordinated with the Department of Fish and Game, and a 1603 Streambed Alteration Permit shall be obtained, if required. (Mitigation Measure #5) 7 In order to ensure that the project's native valley oak (Quercus lobata) trees are protected from residential development pressure, and to ensure that development pressure does not l�AY decrease numbers of native oaks to the point that they may become endangered in the future, the following mitigations shall be required: A. All valley oak trees (as identified on the Oak Tree Map for the Laffins property on file in #Rez 00-04) removed during construction activities shall be replaced with oak seedlings on a two-for-one basis after development, with at least a 15 foot interval between each seedling, in the common area of the property that will not be disturbed. Any valley oaks or other tree species 12 inches or larger in diameter at breast height shall be conserved if at all possible over smaller. trees. The oak trees shall be properly maintained by the developer until they are self-sustaining. The Homeowner's Association shall be responsible for their continued care and maintenance through the Subdivision's CC&Rs. The Planning Division shall be notified upon completion of this mitigation so that the CC&Rs can be reviewed for compliance and an inspection can be scheduled, prior to Final Map recording. (OB. Prior to Final Map recording, and any ground disturbing activity, an arborist or other qualified individual shall select individual healthy valley oak trees for retention, setting out criteria for selection of the oak trees to be selected based on size, beauty, .. �� landscaping significance, and a location which allows reasonable development of the Gproperty, which shall include a circular zone (minimum 40 foot radius) to be established around each tree. If the road easement interferes with the 40 foot radius, the radius can be reduced to accommodate the easement, in such instances that the easement conflicts with a tree worthy of conservation. Each selected tree shall be surrounded by an orange plastic fence during construction activities to designate areas as environmentally sensitive (ESA's). Roads, buildings and disturbance shall be prohibited within the ESA's. The designation of ESA's shall be to the satisfaction of the Planning Division. 0 , Subdivision CC&Rs shall be written to include measures to protect the 40 foot ESA around each conserved valley oak tree. These measures shall include the prohibition IV of development and disturbance within the ESA. The measures will encourage the VV use of borders and -other landscaping schemes to identify the ESA, when the temporary fencing is removed. The measures shall be made applicable to individual lots of the subdivision during development and occupancy. The Homeowner's association shall provide oversight in maintaining the ESA's and protecting individual trees from development. When temporary fencing is removed after construction, the ESA shall be maintained by individual 'property owners. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: All valley oak trees present within this subdivision are protected from disturbance. Individual trees may be removed only upon authorization of the Homeowner's Association. A Forty (40) foot radius Environmentally Sensitive Area (ESA) has been established around each valley oak tree. Individual property owners are responsible to maintain the ESA , which must remain undisturbed in order to ensure survival of individual valley oak trees." (Mitigation Measure #6) /"tort In order to protect wetland resources, the Durham Mutual Water Company Ditch shall be delineated on the final map and labeled as follows: "Wetland Areas that are Jurisdictional waters of the United States, Army Corps of Engineers permit required prior to discharge of dredge or fill material into this area." (Mitigation Measure #7) 14o-rc. ol< m4 `V j A no development setback shall be established along Butte Creek, within the project site. This setback shall be measured 100 feet from the edge of the high watermark of Butte Creek. " The setback area shall be delineated on the final map or on an additional map sheet as follows: "No Development Setback" and "No development permitted in order to protect riparian resources." (Mitigation Measure #8) j,, ; ,.„ a 10 Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "During development activities, should any U(" archaeological artifacts be discovered, the Planning Division shall be notified immediately, and all work shall cease until a qualified archaeologist has examined the artifacts and the site and submitted his or her findings to the Planning Division, and recommended clearance to continue. Recommencement of construction shall be upon the approval of the Planning Division." (Mitigation Measure #9) NvTc 11. Place a note on.a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: o"This subdivision may have expansive soils. Prior to site development foundations may have to be designed by a registered Civil Engineer or licensed architect." (Mitigation Measure #10) nterL 145 >i 1'. In order to minimize water quality impacts and sediment transport to Butte Creek and the �1 Durham Irrigation Ditch during low flows, pollution traps shall be incorporated into the 70 storm drain design near the point of discharge. Design for the traps shall be approved by the Department of Public Works in conjunction with Drainage Plan approval. (Mitigation Measure #14) PuE� - w-`5 0."' 1111003 (rn k ) 13. In order to reduce development within the floodplain to a level that will conform to General Plan, Land Use Element Policy 5.3d. and to insure that future development does not occur within this area, which would not conform to Policy 5.3d, the following condition shall be placed upon the Subdivision Map: Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: " In order to conform to Butte County General Plan Land Use Element Policy 5:3d, which requires that urban development be directed away from flood -prone areas, the common area which contains the land conservation area and sewage disposal area within this subdivision shall remain unsubdivided, and lots 1 through 14 shall not be further subdivided. (Mitigation Measure #15) N -r=: 0,(,! = en-', Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "All residential development within the subdivision shall be required to include vented stemwall construction as a mitigation for the displacement of flood waters, and to protect residential construction from hydrostatic flood forces. Construction shall be required to conform to the Butte County Flood Damage Prevention Ordinance contained within Butte County Code Chapter 26, Article IV. Vented stemwall construction shall be constructed to satisfy National Flood Insurance Program guidelines and Building Division requirements. If the building site can be demonstrated to be above the 100 year floodplain to the satisfaction of the Building Division of Development Services, slab foundations may be permitted" (Mitigation Measure #16) 15 In order to address CalTran's permitting requirements involving drainage and grading during the construction of .the sound wall and berm in proximity of State Route 99, provide CalTrans with the following: A. Prior to development, provide hydrologic/hydraulic calculations that reflect existing and altered drainage conditions for the proposed development and for all drainage systems affected by the development. The developer must also provide grading and drainage plans for the proposed development for review and comment by the District 3 Hydraulics Branch. a � L_, 1.z1 t Io,3 B Provide designs of sound wall and berm to CalTrans. 09 PC -'-n- /z �a z CAL rr7 x,..1-� I Z�t103 C�— Incorporate `weep holes' in the sound wall design at the base of the structure, if appropriate. c ie �,:,. r:.. �/ z 1 /o 2- C n u 0 , t J S (_G' .Ft. ' r., — k1i 4 r 2.j t / v� D. Adequate drainage must be provided for the highway to ensure that no flooding of the highway will occur during the 100 year -return storm event. 2. (� l 6_:!�, E. A CalTrans Encroachment Permit must be obtained by the developer for any work to be accomplished within the State's right of way. (Mitigation Measure #17) 4U/ Prior to Final Map Recording, a berm and sound wall shall be developed 13 feet in height in the vicinity of the east boundary of the project as shown on the plans for the Planned Unit ft,� Development and on file with the Planning Division (File #REZ 00-04). The sound wall A shall include a capstone that will extend 2 to 4 inches outward into the highway side of the �l wall. This structure shall be designed and installed to decrease the noise levels from State Route 99 in the outdoor areas of the building sites within the subdivision to a 65 decibel Ldn noise level. Maintenance of the sound wall shall be the responsibility of the Homeowner's Association. A maintenance provision for the sound wall shall be included within the Subdivision CC&Rs. All necessary building permits shall be obtained from the Building Division. The structure shall. be engineered, with footings for stability. (Mitigation Measure #18) 17. Place a note on the Map or on a separate document to be recorded with the map stating: "To ensure that noise levels inside and outside the residences are within acceptable limits of 45 Ldn decibels interior and 65 Ldn decibels exterior, outdoor activity areas for Parcels #6 thru 1 #14 shall be located on the west side of the residence (closest to the golf course), and garages shall be built on the east side of the residence to act as a partial sound buffer for the 1� residential portion of the dwelling. For Parcels #1 thru #5 outdoor activity areas shall be located on the south side of the residence (closest to the golf course), and garages shall be built on the north side of the residence. Bedrooms should be located to the rear of each residence, if desired." Place this same note on the CC&Rs developed for the subdivision. (Mitigation Measure #19) S c ,,:4. (� To ensure that construction noise does not become a nuisance to neighbors, construction n �activities associated with subdivision development such as clearing, road building, grading, and infrastructure development shall be limited to the hours of 8:00 am to "8:00 pm. (Mitigation Measure #20) 19 Place a note on a separate document which is to be recorded concurrently with the map or Jon an additional map sheet stating that: "A development impact fee for Sheriffs facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code, prior to issuance of building permits. The fee amount will be determined and calculated as of the date of application for the building permit." (Mitigation Measure #22) J�hT"r, 41- 0 Place a note on separate document which is to be recorded concurrently with the map,or on an additional.map sheet stating that: "A development impact fee for school facilities shall be paid prior to issuance of building permits. The fee will be determined and calculated as of the date of application for building permits." Nwree �`r r o K Department of Public Works Conditions -5 a tL C ew, 12 U 1 Prior to Final Map recording, determine a pro rata share cost for this project's cumulative impact on traffic circulation at State Route 99, based upon this projects size and impact. li'7 �, a This pro rata share cost shall be utilized for the future Southgate interchange and additional highway frontage road construction as specified in the Freeway Agreement between CalTrans and the County dated January 26, 1982 under County Resolution #82-18. Any current contribution, such as right-of-way dedication, may be used to discount the total amount, subject to Public Works review. (Mitigation Measure #23) tC0�22. Access to Estates Drive to be constructed to provide for traffic on access road to be perpendicular to the centerline of Estates Drive, as far from SR -99 as possible. ro5����� 23., 'Provide street name signs per requirements of the Department of Public Works prior to recordation of the Final Map. Street names shall be approved by the County Address Coordinator prior to the recordation of the Final Map. A minimum of 5 alternate names for each new street shall be submitted. I,J,gmEs °K '=" L` ,w 24. Obtain encroachment permit for all new or existing driveway approaches and construct them to County standards, as specified in County Improvement Standards. 5. Provide cul-de-sacs, designed and constructed to county standards as specified in the County ! Improvement Standards. The Final Map shall show the cul-de-sacs. d 26. The developer shall provide all necessary traffic safety signs including stop signs. A note rn ,� shall be placed on a separate document which is to be recorded concurrently with the map or on an additional map sheet of the Subdivision Map stating: "No public entity shall be responsible for the maintenance of the stop sign. In accordance with Civil Code Section 845, maintenance of the road, including the stop sign shall be shared by those properties with a legal interest in the private right-of-way or easement." z v /f,�e 27. Pay the recording fees then in effect for recording the Final Maps and related documents.�,,, 28. Deed to Butte County, in fee simple, 25 feet of right-of-way from each side of the centerline of the frontage road for the full frontage on State Route 99, unless the Department of Public Works determines that the frontage road has previously been deeded to the State of California. The right of way shall be sufficient for the installation of standard No. S-5 at all street intersections. &o z-7 ; �' c, .i `a P` z-'? 29. Construct full street section on interior streets to street section provided by the applicant and incorporated into the Planned Development Design (dated May 25, 2001). 30. Offer for dedication a 60 foot wide easement connecting SR -99 frontage road with Estates Drive as necessary to accommodate turning radius. ?o ` c i : •i s Dedicate.aone.foot-2 no.access_stripl or, relinquish abutter's rights to Butte. County, along the frontage road frontage of all parcels along the east property line. 'i4oi was m n r> — o r. r A cccrT i� ies.32. Prior to the recordation of the Final Map, obtain a encroachment ermi and construct a o standard road approach, in accordance with County Improvement Standards. Adequate sight 8/0 �"" distance at the intersection of access roads and Estates Drive shall be provided. 33. Show on the additional map sheet or on a document to be recorded concurrently with the Final Map a 25 ft. building setback from the east property line. oi' t. -v rd 6 r (� A R z: %57 d /2`,t. ?S' 34. Street lighting shall be provided in accordance with Butte County requirements, accepted design criteria, and recommendations of Pacific Gas & Electric Company. If the developer chooses to install the streetlights and pay energy costs through a County Service Area (CSA), he/she must complete the formation of the CSA prior to recordation of the Final Map. The CSA formation process will require the Developer to fund the service until the beginning of the first fiscal year in which service charges can be collected for the CSA, and agree to an annual maximum service charge to ensure continued operation of the facilities. /� 35. Prior to the recordation of the Final Map a plan for a permanent solution for drainage shall `'c2/cam be submitted to and approved by the Department of Public Works. The drainage plans shall specify how drainage waters shall be detained on-site and or conveyed to the nearest natural or publicly maintained drainage channel or facility and shall provide that there shall be no increase in the peak flow runoff to said channel or facility. 36. Establish 100y ear floodplain elevations and the lowest floor elevations for any structures. 4 Show on the additional map sheet the elevations (by contours) and the location of an accepted NVGD benchmark and a temporary benchmark on-site. IgoTc. i�,., -f/o-..37. Show all easements of record on the Final Map. 38. Prior to or concurrently with the recordation of the Final Map, pay in full any and all Z/q delinquent, current and estimated taxes and assessments as specified in Article 8, of Chapter 47 AV 4 of Division 2 of Title 7, of the California Government Code commencing with Section 66492.; Environmental Health Division Conditions 6 Arc 39. LEACH FIELDS A. Identify on the additional map sheet a 100 foot setback from the high-water line of the Durham Irrigation Ditch on the common parcel. B. Prior to recordation of the Final Map, record an executed Future Sewer Service and Storm Drainage Agreement. C. Provide a 150 foot wastewater and hazardous materials free setback area around the proposed community water well. 40. PUBLIC WATER A. Prior to recordation of the final map,&rovide a letter or other documentation from LJ3r�TES sL�r vrc(� a2/J!Y✓y �N Butte Creek�� `I T'i * stating that they are willing and able to supply domestic water to all of the lots in the subdivision. B. Place a note on the additional map sheet that states, "Development of lots 1-14 will require connection to a public water supply.". Nio r.=, `4 / ' r'' r'r'1 4 C. Place a note on the map that states, "All water wells drilled in areas of known flood hazards must meet construction standards set forth in Butte County Code 23B=9c." 0,4- 4 1. ,4. 41. NEW COMMUNITY SEWER A. Prior to improvement plan approval and/or before initiating any site improvements, provide Waste Discharge Requirements issued by the Regional Water Quality Control Board (RWQCB). B. Prior to initiating any grading or site improvements, submit improvement plans for review and approval for the construction of a community sewage collection and disposal facility. At a minimum, these plans must meet the following standards and criteria: 1. Comply with all state and local law regarding the design, placement and construction of a wastewater disposal system; 2. The design must be included as an integral part of the grading and site improvement plans, subject to approval by both the Butte County Environmental Health and Public Works Department. 3. Provide a detail on the plan demonstrating encroachment of private sewer lines in public road rights of way. 4. The plan must be complete and detailed, submitted by a licensed civil engineer, showing a continuous flow-through system: This plan shall specify construction details with appropriate construction notes, materials to be used and show elevations of various gravity fed components in relation to site plan (commonly called a hydraulic profile cross section). This plan must be finished and detailed sufficiently with construction specifics that would allow a qualified contractor to install the facilities in accordance with the above referenced criteria. C. Prior to. recording the Final Map, provide community sewage collection, treatment and disposal facilities in compliance with California State Regional Water Quality Control Board, the Butte County Code, California Health & Safety Code, Federal Law and other applicable codes and regulations governing the design, construction and operation of the facilities. D. Prior to the Final Map comply with all sewage disposal facility construction standards and health and safety requirements of the Butte County Code, California Health & Safety Code, Federal Law, and other applicable codes and regulations governing the construction of such facilities. E. Prior to the Final Map provide a community services district or other legal (government) entity adequate to insure the operation, maintenance or repair of the sewage collection, treatment and disposal facilities. At a minimum creation of the entity shall: 1. Insure financing of operation, repair and maintenance; 2. Provide qualified individuals and operational procedures for facility operations, repair and maintenance; 3. Provide adequate resources to comply with all monitoring and other Regional Water Quality Control Board Waste Discharge Requirements; 4. Provide adequate resources for facility inspections and reports; 42 G 5. Provide adequate resources and/or mechanism to insure adequate funding of a major sewage treatment and a disposal facility replacement or reconstruction if necessary; 6. Provide a liability risk assessment for review by the County of Butte; 7. Indemnify the County of Butte and Community Services District or other government entity for all claims and liability that may occur relative to the sewage disposal facilities. If a Homeowner's Association is formed as an oversight entity for the maintenance and repair of the sewage collection, treatment and sewage disposal system, obtain approval of the By-laws and CC & R's by California State Regional Water Quality Control Board and Butte County Environmenta.L.He_alth. Approval shall be obtained prior to recordation of the Final Map. Place a note on the additional map sheet that states "Development of lots 1 through 14 will require connection to the community sewer system." N!oT`� ry, 4 H. Place a note on the additional map sheet that states "Lot designated as conservation/sewage disposal reserve, is to be held in common for the benefit of the homeowner's association for the purpose of providing an area for the community sewage disposal system." ©e- m;4 I. Provide an easement for community sewage disposal lines where they cross individual lots. J. Provide for ownership or control of the sewage disposal area, sewer mains pump stations and other facilities by the wastewater system maintenance entity. SOLID WASTE DISPOSAL PLANS A. Place a note on a separate document which is to be recorded with the map or on an additional map sheet of the Final Map stating, "Solid waste disposal shall be the responsibility of each property owner. Trash and debris shall be picked up weekly by either a trash collection company approved by the County of Butte or the property owner shall assume the responsibility for taking trash and debris to a County approved landfill." (Mitigation Measure #11) /VaTl . 4-4!"7 VA,r. lei -A. California Department of Forestry Conditions t�Y1 G'; r>� (� •`b, fi � iY L l,.t � �.f e F"ti'1 h't 43. Place a note on a separate document which is to be recorded concurrently with the map or on an additional map sheet that states: "All addresses shall be installed in conformance with Public Resource Code 4290 -Fire Safe Regulations and shall be posted at the beginning of building construction and maintained continuously thereafter." (Mitigation Measure #12) -,4 44. Fire hydrant identification, reflectors or post reflectors shall be installed to the County Fire Warden's satisfaction, prior to final map recording. (Mitigation Measure #13) A pressurized community water system shall be provided to address the need for water in sufficient amounts for fire protection within the subdivision. The specific locations and fire flow requirements shall be in accordance with the Fire Department specifications and to the satisfaction of the County Fire Warden. Average required hydrant spacing shall be 500 feet, hydrant size shall be 6 inches, and residual fire flow shall be 1000 gallons/minute. (Mitigation Measure #21) -Regional Water Quality Control Board °'° PrF .r ;, � cA ��� 3 �� o 0n1 N0T � 0r`✓etx_� 4, 6. Wetlands and/or stream course alteration - Water quality certification is required for any project which impacts waters of the State (suchas streams and wetlands). Impacts include, but are not limited to, stream crossings, the modification of stream banks or stream courses, and the filling or modification of wetlands. The Certification must be obtained prior to Sc�� 1:•s construction. Failure to obtain Certification, when required, may result in an enforcement action. 47. Storm Water - A Construction Activity Storm Water Permit is required for storm water discharges associated with a construction activity where clearing, grading, and excavation result in a land disturbance of five or more acres. Storm water discharges from a construction activity that results in a land disturbance of less than five acres, but which is part of a larger common plan of development, also requires a permit. The Construction Activity Storm Water Permit must be obtained prior to construction. Failure to obtain a permit, when required, may result in an enforcement action. 48. ? Construction Dewatering - If improvements such as sewer, or other utility installation require dewatering of any excavation, a general N-DFES Dewatering permit must be obtained. This office may be contacted to obtain the necessary forms for this permit if necessary. 49. ? Wastewater Treatment and Disposal Sufficient information must .be provided by the � ,X �� applicant to enable evaluation of the treatment and disposal options in relation to conditions 4�� in the area such as local ground and surface water hydrology and soil types and depths. '�` Potential impacts or benefits which must be addressed include contamination of ground and surface waters, protection of the public health, generation of vectors and nuisance conditions such as odors, and short-term impacts during construction such as accelerated erosion. A septage disposal plan must also be considered since homes in the development will all be on septic tanks. Pacific Gas & Electric Company / 2// /d3 M 14 ok' 50. " A 10 foot wide public utilities easement shall be dedicated adjacent to the southerly boundary Z! 03 line of the 50 foot wide frontage road easement. _5041tE WAY Jk r LAyE2 LAAI� L I,�.• ... 51. All public utility easements and/or public service easements shall be kept free and clear of /z/110 any and all obstructions, including structures, longitudinal fencing and/or sound walls, which may impede the construction, operation and maintenance of PG&E gas and electric facilities. 3^>ifr SPECIAL CONDITIONS ' CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY - USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i 'x JOB FINALED (Date) ' f'4- Signature d=OK o= Not OK _ Nt R,e = . =Noot Readyeady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4- Water; Location -Test -Easement Needed (Sketch) .5. Electricity; Location-Clearances-Gmd-/ . /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ . - P IL 'fL / P Nat or/ /' L W. P LPG . 7. Well Clearance 8: Disconnect 8. Utility Clearance .- 12. Braced Wall Panels, ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 . Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test=.Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flek Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C10 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements I 2. Footings; Size -Spacing -Marriage Line 3. Bkrck g :. . 4. Gas; MH Test=Demand-Va v • _ 5. Electricity; MH Tess 6. Water, MH Test 7.. Water. and Sewer Connected . . - _. _. 8. Gas and Electricity Tagged 9. Exits 10.: License Decals - 11. Verify.#'s with Office Date Card B-1 Date Card B-1 Date Card B-1 . Date Card B-1 MISCELLANEOUS Date DECK%COVERS. CARPORTS, GARAGES (Plans) OK except #'s t I 3,,,I`ootings; Soils-5¢e-ueptn-6pacing-uonnectors-ateel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6: Carports; Wndovlra-Doors . 7. Electric 8. Frmg.-, Sills-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Root Shthg-Roofing .... r 11. Ext; Steps -Doors -Landings - 12. Braced Wall Panels, ' Date Cana B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Vs 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness . Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distance -GA 5. Elec.; Pool Lighting. 15 Vofts-GF! . 6. Elec.; Enclosures-, Conduit Entries -Terminals -Listed 7.. Elea; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elea; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes=Enclosures-Panelboards-Ins. to Main Conduit 9: HeiM Department Approval 10.. Plumb.; Cir. Test -Water Supply Test ll. -Light Niche " 12. Enclosure; Fencing -Alarms Date Cana B-1 Date Card B-1 Date. Card 5-1 Date _ Card B-1 OK =Not OK = NotAppruable IES1®ENTIAL (Single & Duplex) = Nat Ready late UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd. / . /" Ftg. Depth 3_ Ftg., Garage; Sols-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (1?ermit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower; Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B=1 'Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or Al -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Elting Doors -Sill HL & Dimensions 52. Garage Fre Protection Framing -RC Channel 53. Property Lune Firewall & Openings 54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ' 57. Siding-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naffing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 . Date :' Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Fumace Vents -clearance -Comb, Air -Connector - In Garage; Ahove Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.FI. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails. 71. Freplace or Stove; Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. 73. Kit- Foxt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Dampen 77. Wtr. HV.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Medi. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.1.)-116mex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJlhive D Yes O NoAValks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appriance-Fueplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.1. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Retum Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Elting Doors -Sill HL & Dimensions 52. Garage Fre Protection Framing -RC Channel 53. Property Lune Firewall & Openings 54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ' 57. Siding-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naffing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 . Date :' Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Fumace Vents -clearance -Comb, Air -Connector - In Garage; Ahove Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.FI. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails. 71. Freplace or Stove; Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. 73. Kit- Foxt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Dampen 77. Wtr. HV.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Medi. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.1.)-116mex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJlhive D Yes O NoAValks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appriance-Fueplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.1. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO.. BPO52450 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/06/2005 APN: 040-350-026-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 10684 PLAYERS LN CHI Map Index: Date: Contractor: Description: patio cover, trellis (400) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LAFFINS, RONALD AND BRANDY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant.to the provisions of 10684 PLAYERS LANE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation of Section 7031.5 by any applicant for a permit subjects the nt to a civil penalty of not more than five hundred dollars ($500).): 7asowner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: LAFFINS, RONALD AND BRANDY owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 10684 PLAYERS LANE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA proving that he or she did not build or improve for the purpose of 95928 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of thei ess and Professions Code Date: i 0 Owner: WORKERS' COMPENSATION ECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 400 S.F. JV/I certify that in the performance of the work for which this permit is Valuation: $6,400.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compehsation provisions of Section 3700 of the Labor Code, I shall forthwith com ly wit thoszovisions. Date: n Applicant: I WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one1C �� /� l/ �/ /, Alln6vAl/a� GU hundred thousand dollars ($100,000), in addition to the cost of ►►GG compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under pplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ions to work indicated bov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) _ Name: B.//�� Date: 65/ Address: PERMIT EXPIRES ON: Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of anyGffleiol form or document of Butte County. I hereby authorize repress of Butte County to enter upon the above mentioned property for inspection purposes. (77\\ ''Print � ,V �Z Name: iL Signature: Date: XOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** v — , I, OWNER Last Na N irst Napf�' Addres d �o r< �/ ev 7v City /` ./ _ State State Zip, PhoneC//i(iL Z �L� -36 5 Fato E-mail C[ I _Sx i All 41 I v — , I, PL/CANT SIGNATURE X For office use only: CONTRACTOR Name SRA Address Pl/ City Yes State Zip Phone Fax E-mail Lot # Lic. # Class PL/CANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name SRA Address Pl/ City Yes State Zip Phone Fax E-mail Lot # State License Number PL/CANT SIGNATURE X For office use only: APPLICANT NAME Name SRA Address d Pl/ City / Yes to Zip/\��& ��ll dd Phone Fax G E-mail v ` Lot # PL/CANT SIGNATURE X For office use only: Zoning Com' SRA Flood Zone Sheriff SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 5- 2y BIN # LOCATION AP# b(-10 '51�0 (526 000 Pro pertAddre w P City, G� Cross StreetG � �J I �L 5 P WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: v L� � �N 14 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b. Amount: Bldg Com' SRA Receipt , V " Sheriff SMIP Date:,,,,,, Other Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED.. ALL PLANS MUST BE LEGIBLEAND IN INK. ❑ 1. .Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on ,plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ . 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing ,fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSOUILDING F0RMSU31dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISidN 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: *f<r/NJ ASSESSOR PARCEL NUM Proposed Building Use: 0770 rayt Z _ permit Technician: Date: �.Ite required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Wi' V 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. / 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings \ ❑ 12. Hazardous Material'Form N 13. Acknowledgement of building permit application without required clearances. 0 14. Other ,. \ Remaini t ms needed to issue the permit. (May require additional plan review upon receipt of the following items.) �g 15. anitation and site plan approval from the Environmental Health Department in ❑ Chico O Oroville, as applicable OFire Sprinklers........................................................................... ".'........ .... 0 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ �; Erosion Control Plan Required........................................................................ �(2 Fees as shown on the attached Schedule of Fees Due Sheet ............................. �. C- ❑ 21. City of Chico Plumbing permit......................................................................:. ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: � ❑ 24. Planning approval for (A) UseQL(B)Parking: (C) Parcel Check:..... ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ Al26. NPDES Form ......... 1:................................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... \ ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... I 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone • 27 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applica j t: - Date: 1. Index Rermita pli i �n fo the above items numbered: Plan Check Letter 2. Addition ri ems re uir d ! !F D Contractor, design owner, as advised of thd above data by V p one, mail, ❑ counter, by KG,_ Date: Contractor, designer, owner, was advised of the above data by ❑phone, ❑mail, ❑counter, by Date: Contractor, designer, owner, vias advised of the abo a dat by phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: / Date: 0 Plans approved by: �Z Date: 6 Structural reviewed by: r Date: Structural approved by: Date: Note transfer by: Date: �- Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.14. USE ONLY Not Nen Attached d/ Roar Nen Attached Jam. Sana to G.D. e0.6 -ems .;% ! 3-- y G Z'7 /S Owner Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for . dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Envirorfinental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecountv.net/dds f/' OWNER PROPROSED BUILDING USE VA -770 C(3y L°_ 1. BUILDING PERMIT FEES Balance Due... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available a r Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPAC EES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) EL MEDIO FIRE DISTRICT (pepdwellinR) $ NORTH CH/!NN AN (per dwelling) Zoning $ 6. SRA FIRE AND PLAN CHECK FEE $204.9 I (paivision) 7. WATER TBATTALION # $200.00 (paivision) 8. SMIP 9.D INAGE FEE 10 OTHER 11. OTHER A.P. # DATE / -d �— RECEIPT # � DATE REC. _ At time of permit applicatilCodeection ised the above fees are required to be paid prior to issuance of the permit. hese ees may be changed d eng process. APPLICANT DATE Pursuant to Govemm t Co Seu are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the of appject or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Governme66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) vices °$uTr� Butte County Department o 'Development ,pel.° 7 County Center Drive Oroville, CA 95965 ° - o (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, . County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. ® I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building_plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to.all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: q ,,-�!,,Applicant Name: APN: 3670y�O' Building site address: �o -e, -Permit No.:/SV 0-V50 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNA DAT ' Copy to Applicant/EH/File K:Forms/BldePermitMthoutClearances 020705 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the mom' 'r labor and material for construction of this proposed property impr ement: YES [/'] NO [ ]. 2. I HAVE [/ J HAVE NOT [ ] signed an application for.a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: (n, NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION `BUILDING `GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforin their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confine that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Department of Public Works ; C o u n t y o f B u t t e `•` �'= ® ). Michael Crunp, DIf2CrOr LAND DEVELOPMENT DIVISION ® Storm Water Management Program / 7 County Center Drive oo Oroville, CA 95965 p U g (530) 538-7266 AUC W�F� (FAX) 538-7171 National Pollutant Discharge Elimination System. -(NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 9 ACRE]. Project Description: ►A \ 10 0v,- 4AW Project Location and/or Parcel Number: lJ b �V I� By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not.need to apply for a Construction Storm Water Permit from the State of California Regional. Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Pen -nit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: rfW 1 � { COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES `+ 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 22q(0 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances ebst at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector: as indicated below. �mov� �� ` PRO vro ce 1 C/� r OF . c i1 PFT6-/L- 7 Al Date S- I b - Inspector t )e— P- H S --)aYusNS REV 2/05 Phone # - t:`':�•m.,-^��+�yt'YF'....,.,.v., ...--a `_ f 4;�.��..+R..._ �r-.mac..nw---�'`:,wr<r-t""�.';?"®.;!".a'_r.-'.«."t••^ti,�:.r�c 4 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES -` 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE. "i OWNER! � PERMIT N0. A routine' inspection indicates that the following violations/of Butte County Ordinances eAst at : t the above address and should be corrected. Please 91(for re -inspection when correction of work is completed. If you have'any questions pe fining to this. matter, or need additional .'z+ planation, please contact the Bu'Iding Inspector in icat below. \zS G Gr 17-64- 1'J w s Date t (:)5 Inspector REV dos Phone # '"Y %A ^A Date t (:)5 Inspector REV dos Phone # '"Y F COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA . (530) 538-7541 CORRECTION NOTICE A routine inspection indicates that the following violations of Butte County Ordinances exist at the abo/ve address and should be corrected. Please call for re -inspection when correction of workcompleted. If you have any questions pertaining to this matter, or need additional expl ation, please contact the Building Inspector as indicated below. Date l a Inspector / U ���/?✓jf� J Y<�`-Z/ REV 2/05 Phone # 5 Z J'�; -35 'COUNTY OF BUTTE r BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ' 7 County Center Drive •Oroville, CA e (530) 538-7541 TOLL FREE (530) 891-'2751 CORRECTION NOTICE l,l/moi o c�- D'al OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed/ If you have any questions pertaining to this matter, or need additional explanation, ' please co tact this office immediately. 1} i Date -� Inspector g ` REV 10192 / �"."��n COUNTY OF BUTTE v BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico; CA • (530) 891-2751 ' 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the _. above address d should be corrected. Please notice this office when correction of work- is completed. you have any questions pertaining to this matter, or need additional explanation, h� please C.081act this office immediately. �t / �"."��n Date Z - 'REV 10/92 Inspector w Date Z - 'REV 10/92 Inspector ,.r^+-A...-%rw.w.ti-.r.or-^....-----...T......_,,,,,-- �, _.�-.-�+, :� .- �- -^ -..-r e�....w....-.+.n.---s.- �t+�-,.+�..y�. �e �-t;;.ti.,�;�•iA COUNTY OF BUTTE :... BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive, • Oroville, CA • (530) 538-7541 , CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the y above address and should be corrected. Please notice this office when correction of work is completed. If you have ny questions pertaining to this matter, or need additional explanation, please contact this ice immediately. ,4 n Date ��' Inspector` - REV 10/92 I�•:i.4,� y_ `i`+n. � ,.. ! ! Y ' _ � � y^...��+-'-��-_...,���y.,., r4'w"�' *ln .+ �... -.�r�ew L4nttiy �-'^ / / COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 x 7 County Center Drive • Oroville, CA • (530) 538-7541 4-. h- CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have anyq.uesiions pertaining to this matter, or need additional explanation, please contact this office irT=iately. 'ate - U.< < ID (' BUTTE COUNTY INTER -DEPARTMENTAL MEMORANDUM JUL 1,_ 4 2005 DEVELOPMENT TO: BUILDING ISIO , OROVILLE SERVICES 6 FROM:. ENVIR. HEALTH, CHICO J DATE: RELEASE ENIV. 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